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DOCTORS FAMILY MEDICAL CENTER, INC.,

Company Details

Entity Name: DOCTORS FAMILY MEDICAL CENTER, INC.,
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 24 Feb 1997 (28 years ago)
Date of dissolution: 16 Oct 1998 (26 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 16 Oct 1998 (26 years ago)
Document Number: P97000017184
Address: 8746 N.W. 149TH TERRACE, MIAMI, FL, 33066
Mail Address: 8746 N.W. 149TH TERRACE, MIAMI, FL, 33066
ZIP code: 33066
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043349715 2007-03-05 2020-08-22 5535 MEMORIAL HWY, TAMPA, FL, 336347370, US 5535 MEMORIAL HWY, TAMPA, FL, 336347370, US

Contacts

Phone +1 813-901-0705
Fax 8139010566

Authorized person

Name MR. KEVIN LAMAR GREEN
Role DIRECTOR OF CREDENTIALING
Phone 8139010705

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
Is Primary Yes

Agent

Name Role Address
GARCIA EDDY Agent 8746 N.W. 149TH TERRACE, MIAMI, FL, 33066

Director

Name Role Address
GARCIA EDDY Director 8746 N.W. 149TH TERRACE, MIAMI, FL, 33066

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 1998-10-16 No data No data

Documents

Name Date
Domestic Profit Articles 1997-02-24

Date of last update: 02 Feb 2025

Sources: Florida Department of State